GLEN A BEEDE DPM PA NPI 1407033400

NPI Information

GLEN A BEEDE DPM PA is a podiatric clinic center in Fort Worth, TX. GLEN A BEEDE DPM PA NPI is 1407033400. The provider is registered as an organization entity type.

The provider's business location address is:

5521 BELLAIRE DR S STE 116
FORT WORTH, TX
ZIP 76109-855
Phone: (817) 763-9383
Fax: (817) 763-9385

The provider's authorized official is Glen Alan Beede .
The authorized official title is Owner and has the following contact phone number (817) 763-9383.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 12/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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